The Non physician provider (NPP) will be a board certified Physician Assistant or board certified Acute Care Nurse Practitioner. Preference will be given to the above candidates who have completed an acute care fellowship after completion of their master’s program. Other requirements include previous critical care experience, OR and procedural skills, strong work ethic and desire and willingness to practice at the top of licensure. Trauma & Critical Care are fast paced environments requiring critical thinking skills, attention to detail and confidence in decision making.
As part of the Trauma & Critical Care Service, the NPP will admit, discharge and manage daily care of Trauma & Critical Care Service patients, in collaboration with the attending physician. This includes management of isolated neurosurgical and orthopedic trauma patients. Critical Care services involves management of both surgical and medical critically ill located in MICU, SICU and CICU and may extend to the ER or general patient care areas as indicated by patient acuity. Patients admitted by the NPP will be evaluated by the admitting physician within 8 hours. The NPP will respond to 95% of the calls for the ICU and ER within 5 minutes. The position will also function as the central line team for the medical center, excluding PICC line placement. The NPP will also oversee care of patients in the Trauma Follow Up Clinic.
Schedule will be 8 and 12 hour shifts, rotating days and nights and will include holidays and weekends..
The NPP will perform bedside procedures to include:
• Arterial line placement
• Endotracheal intubation
• CVC placement, including non-tunneled dialysis catheters and Swan-Ganz catheters
• Chest tube placement
• Basic fracture and dislocation reduction
• Burn management and resuscitation
• Administration of conscious sedation, per protocol, for procedural sedation
• Ultrasound for trauma and hemodynamic evaluation
• PEG placement, excluding endoscopy portion
• OR first assist for Trauma Surgeons
General functions - This position is responsible for the effective practice of acute care medicine according to the Medical Staff By‑Laws and established Trauma Services and Medical Center policies and procedures. Essential attributes of the position are an understanding of the job, a commitment to its fulfillment and the interpersonal skills necessary to guide, motivate, reassure and persuade the various users and providers of Trauma Services. Within the Medical Center, emphasis will be placed on creating a positive environment in which a "can do" attitude prevails.
Assessment - Assesses physical, psychosocial and growth and developmental needs of the patient. Documents assessments accurately in a clear concise and legible manner. Reassess patients, updates plan of care. Accurately completes History and Physical as outlined in the Medical Staff By-Laws. Then involves patient/family in the development of care plan. Orders appropriate diagnostic and therapeutic measures. Always maintaining the safety of the patient.
Pharmacological Management - Orders medicine within scope of practice and follows all Pharmacy policies including but not limited to accepted abbreviations. Evaluates antibiotic usage during rounds, changing any necessary medications to oral when appropriate.
Collaboration with Medical Staff and other Providers - Achieves an effective working relationship with the Medical Center’s medical staff to ensure success of Trauma Services through timely responsiveness to needs of medical staff and other providers. This includes but is not limited to participating in the operating room as a surgical assistant when requested, participating on Medical Center committees as needed and maintaining a flexible daily work schedule to meet the needs of this role.
Quality - Ensures that care is provided to the desired standard which includes but is not limited to: High quality medical and nursing care; Patient satisfaction through competency, timeliness and courtesy; Improvement of service through continuing education requirements necessary for licensure and cost effectiveness. Participates with leadership and clinicians to develop and support implementation of care paths, collection of clinical and financial data designed to measure the appropriateness and quality of care provided. Works with trauma data analyst, trauma director, and others to develop plan for improvement to meet or surpass benchmarks. Is familiar with the national patient safety goals.
Leadership Skills - Makes decisions using critical thinking based on data reports. Trends opportunities for improvement to appropriate manager/director. Acts as a mentor to entire multidisciplinary team by educating and coordinating care. Updates and practices within guidelines of collaborative practice agreement. As a leader provides mentorship and training to medical center staff. Seeks to provide educational leadership to improve the outcome of the trauma patient.
Demonstrates Knowledge of Age‑Specific Factors Necessary to Perform Safe and Effective Performance of Duties. - Evaluation of age‑appropriate motor skills and psychological norms. Recognizes patient’s psychological development. Interview/communication techniques are appropriate. Assesses safety needs based on age groups and provides safety measures based on assessment. Uses appropriate sized equipment for size and age of patient. Identifies increased physical/emotional dependency needs and evaluates availability of support system.